Certificate of Insurance

Certificates must be requested at least 72 hours prior to the desired event. Certificate review and processing can take three days or more in some circumstances.


Certificates of Insurance are used as evidence of insurance. It identifies what insurance will cover for the named insured, and what financial protection might be available in the event of a loss. It gives no rights to the entity for whom the certificate is being requested in regard to the actual insurance policy. Neither can it alter or modify coverage(s) on the actual policy.


Certificates are often required to be produced to complete a business agreement or participate in an activity such as renting equipment, using a location for an event or for students doing medical externships.

Outside entities doing business or with events on campus are require to produce a Certificate of Insurance with the following:

– Certificates of Insurance must be on a standard ACORD form.

– Dixie State University must be listed as the Certificate Holder.

– Minimum amounts of 1 million single occurrence and 3 million general aggregate.

– Dixie State University must also be listed as Additional Insured.


  • Your name, title and contact information.
  • The outside entities contact information; Contacts first and last name, Phone number, Email, Entity name, Address, State, Country, Zip code.
  • What kind(s) of insurance must be on the certificate (Example: annual or limited, general liability, auto liability, professional liability, property, auto comp/collision or course of construction). Please note State Risk Management does not provide workers compensation insurance.
  • What the required limits for each kind of insurance are (Standard Limits are the Governmental Immunity Act limits set by statute every two years currently 1 million single occurrence, 3 million General Aggregate). Sometimes higher limits may be requested.
  • Note if the Certificate Holder is Additional Insured or Loss Payee.
  • If other entities besides the Certificate Holder must be Additional Insured, you must add. (Example: respective members, officers, directors, agents and employees are additional insured).
  • Give correct name and spelling of the Certificate Holder and address. Many nationwide entities require their home office address be used not the local address. Be sure to include LLC or Inc. as most Certificate Holders won’t accept a Certificate without this.
  • Short, description of the event noting Who, What, Where, When, Why and How. If you need proof of insurance for a new school bus, for example, give the make, model and year and VIN of the vehicle. How are students being transported to events, if you are renting space for an event, and include the enter/exit dates. Please do not use acronyms
  • The Certificates will only be emailed to the Requestors and Certificate Holders. If other entities need a copy of the Certificate, then you will need to request them from Risk Management.


If you have questions, please don’t hesitate to call or email Sonja Blea, Risk Coordinator.